IIE Sunday School
WELCOME LETTER
Student Information
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Indicates required field
Student Name
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First
Last
Date of Birth (mm/dd/yy)
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Gender
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Male
Female
Grade Level
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Pre-Level
K-Level
Level 1
Level 2
Level 3
Level 4
Level 6
Level 5
MS Level-1
MS Level-2
MS Level-3
MS Level-4
Allergies/Health Concerns and Health Care Provider
*
I permit IIE sunday school to display pictures of my child on the iie sunday school website
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Yes
No
I authorize IIE to administer the following medications to my child in the case of an emergency:
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Tylenol
Asprin
Midol
Benadryl
Ibuprofen
None of the above
Parent Information
Primary Guardian/Father Name
*
First
Last
Primary Guardian/Father Profession
*
Mother Name
*
First
Last
Mother Profession
*
Email
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Address
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City
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State
*
Zipcode
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Cell Phone Number
*
Emergency Contact Name
*
First
Last
Emergency Contact Infromation
Phone Number
*
Relationship
*
Submit
School Policy
